MEDICARE: ANA CARINE MESSLER PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	4746	NC
2	103G00000X	Clinical Neuropsychologist	4746	NC

General Provider Information

NPI Number	:	1164721015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANA CARINE MESSLER PH.D.

Provider Business Mailing Address
First Line	:	447 S SHARON AMITY RD
Second Line	:	STE 130
City	:	CHARLOTTE
State	:	NC
Zip	:	28211-2836
Country	:	US
Telephone Number	:	704-366-7890
Fax Number	:

Provider Business Practice Location Address
First Line	:	447 S SHARON AMITY RD
Second Line	:	STE 130
City	:	CHARLOTTE
State	:	NC
Zip	:	28211-2836
Country	:	US
Telephone Number	:	704-366-7890
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2011
Last Update Date	:	08/16/2023

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